[The study of detection and etiology of unilateral deafness in children]
1Hearing and Vertigo Center, Xinhua Hospital, Medical School of Shanghai Jiaotong University, Shanghai, 200092, China.
Insights
Early detection of single-sided deafness (SSD) in children is possible with universal newborn hearing screening. Cochlear nerve deficiency is the primary cause, and MRI is recommended for diagnosis.
Area of Science:
- Pediatric Otolaryngology
- Neuroimaging in Hearing Loss
- Auditory Neuroscience
Context:
- Single-sided deafness (SSD) in children presents diagnostic challenges.
- Current detection methods may lead to delayed diagnosis.
- Understanding the etiology is crucial for effective management.
Purpose:
- To investigate the detection methods and primary causes of single-sided deafness in pediatric populations.
- To establish evidence-based guidelines for the diagnosis and treatment of childhood SSD.
- To evaluate the role of advanced imaging in identifying SSD etiologies.
Summary:
- A retrospective analysis of medical and radiological data from children with unilateral deafness was conducted.
- Inner ear malformations were present in 80.6% of cases, with cochlear nerve deficiency (CND) accounting for 77.8% of all SSD cases.
- Delayed diagnosis was noted in cases failing universal newborn hearing screening, with a mean age of 7.7 months.
Impact:
- Universal newborn hearing screening (UNHS) can facilitate early detection of SSD.
- Cochlear nerve deficiency is identified as the predominant etiology for SSD in children.
- Magnetic resonance imaging (MRI) is recommended as the primary imaging modality for diagnosing SSD in children.
Abstract:
Objective:To explore the detection approach and aetiology of single-side deafness(SSD) in children and provide evidence for diagnoses and treatment. Method:A retrospective study was performed. Medical history and radiological data of children with unilateral deafness were analyzed. Result:The mean age at diagnosis was 6 years old. The mean age at diagnosis was 7.7 month because of failure of universal newborn hearing screening. Inner ear malformations were identified in 80.6% of cases. Cochlear nerve deficiency(CND) was observed in almost 77.8% of our cases, accounts for 96.6% in children with inner ear malformations. Conclusion:The children with SSD could be early detected by UNHS. CND is the main aetiology for SSD. MRI should be the first image choice when SSD children was diagnosed.
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